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AVITA PHARMACY 1060
RWII45223 Caracole, Inc.
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Covered Entity Details
Entity Name
Caracole, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII45223
Entity Address
4138 Hamilton Avenue
Cincinnati, OH 45223
Grant Number
X07HA00016
Participating Start Date
4/1/2014
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1060
Pharmacy Address
RX BLUE STAR SOLUTIONS, LLC DBA AVITA PH
40 PENNWOOD PL STE 200
WARRENDALE, PA 15086-6625
Pharmacy Comments
12/21/2012 address update (was 107 GEORGE RD EVANS CITY 16033); 2/23/11 UPDATED ZIP (WAS 16053)
Contract Details
Approval Date
3/18/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Linda Seiter, Executive Director
(513) 619-1486
Contract Pharmacy Representative
Avita Pharmacy
David Swierczewski, Account Exec
(724) 882-7608
Signed By Date
3/13/2014
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